1. Home
  2. Directory
  3. Virginia
  4. Suffolk
  5. Surgery
  6. NPI Profile

WAYNE TSE M.D.
NPI 1609222967
Surgery in Suffolk, VA

Active since May 05, 2016PECOS Enrolled
94.65/100
CMS Quality Rating
2790 GODWIN BLVD STE 305, SUFFOLK, VA 23434(757) 934-4222(757) 934-4111 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2026, Dec 4, 2023, Oct 30, 2023 and 2 more (5 updates tracked since 2023).

About Wayne Tse M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNE TSE M.D. (NPI 1609222967) is an individual surgery provider in Suffolk, Virginia, licensed in New Hampshire (24433) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1609222967
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameWAYNE TSECredential: M.D.
Location Address2790 GODWIN BLVD STE 305Suffolk, VA 23434-8158
Mailing Address1250 E. Marshall St., Box 980135Richmond, VA 23298 · (804) 828-7391 · Fax (804) 828-0191
Phone(757) 934-4222
Fax(757) 934-4111
Sole ProprietorNo
Enumeration DateMay 5, 2016
Last NPPES UpdateAugust 12, 20265 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1609222967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NH · 24433✔ Licensed in IL · 036181603
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 036181603 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2790 GODWIN BLVD STE 305, Suffolk, VA 23434
Open in Google Maps ↗

Secondary Practice Location 1

Location 11250 E. Marshall St., Box 980135Richmond, VA 23298 · Phone (804) 828-7391 · Fax (804) 828-0191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wayne Tse M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Wayne Tse reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sentara Medical Group
21 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
NPI 1265485270 (757) 252-2900
Urgent Specialty Associates PLLC
73 mi
Surgery
7101 JAHNKE RD
Richmond, VA 23225
  • Reassigned Medicare billing, Virginia enrollment
  • 81 clinicians in this Medicare group
NPI 1487164604 (972) 468-0029
Valley Physician Enterprise, Inc.
181 mi
Family Medicine
115 SOUTH CHURCH STREET
Berryville, VA 22611
  • Reassigned Medicare billing, Virginia enrollment
  • 386 clinicians in this Medicare group
NPI 1700562634 (540) 955-4811
Winchester Medical Center
185 mi
Family Medicine
217 GROCERY AVENUE, SUITE B
Winchester, VA 22602
  • Reassigned Medicare billing, Virginia enrollment
  • 756 clinicians in this Medicare group
NPI 1689463671 (540) 536-7700
Osf Multi-Specialty Group
758 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
59 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services36 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
27 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23434 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.78
Promoting Interoperability92
Improvement Activities40

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES GRAHAM BITTNER IV MD
Surgery
2790 GODWIN BLVD STE 305
SUFFOLK, VA 23434
Suffolk City (757) 934-4222
MICHAYLA DESIREE SMITH FNP-BC
Nurse Practitioner (Family)
2790 GODWIN BLVD STE 305
SUFFOLK, VA 23434
Suffolk City (757) 934-4222
DR. CARLOS JAVIER GLANVILLE MIRANDA M.D.
Colon & Rectal Surgery
2790 GODWIN BLVD STE 305
SUFFOLK, VA 23434
Suffolk City (757) 931-4222
MATTHEW JAMES SARNA MD
Surgery
2790 GODWIN BLVD STE 305
SUFFOLK, VA 23434
Suffolk City (757) 934-4222
STEPHEN JOSEPH LANGSTON M.D.
Surgery
2790 GODWIN BLVD STE 305
SUFFOLK, VA 23434
Suffolk City (757) 934-4222
LAURA ELIZABETH HASTINGS AGACNP, RN, CWON
Nurse Practitioner (Acute Care)
2790 GODWIN BLVD STE 305
SUFFOLK, VA 23434
Suffolk City (757) 395-1600
CATHERINE DARE ADICKES NP
Nurse Practitioner (Family)
2790 GODWIN BLVD STE 305
SUFFOLK, VA 23434
Suffolk City (757) 934-4222

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne Tse's NPI number?

The NPI number for Wayne Tse is 1609222967. It was assigned to this individual provider in the NPPES registry on May 5, 2016.

Where is Wayne Tse located?

Wayne Tse practices at 2790 Godwin Blvd Ste 305, Suffolk, VA 23434. The listed phone number is (757) 934-4222.

What is Wayne Tse's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Wayne Tse enrolled in Medicare?

Yes. Wayne Tse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wayne Tse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wayne Tse reassigns Medicare benefits to 5 organizations: Sentara Medical Group (Norfolk, VA), Urgent Specialty Associates PLLC (Richmond, VA), Valley Physician Enterprise, Inc. (Berryville, VA), Winchester Medical Center (Winchester, VA) and Osf Multi-Specialty Group (Peoria, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wayne Tse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wayne Tse accept?

Health plans from Sanford Health Plan list Wayne Tse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wayne Tse was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.